Article ; Online: Fatal cerebral air embolism from atrio-oesophageal fistula following cardiac ablation.
2024 Volume 24, Issue 1, Page(s) 37–40
Abstract: A young woman with Rogers syndrome (thiamine-responsive megaloblastic anaemia, diabetes mellitus and sensorineural deafness) presented with headache, recurrent supraventricular tachycardia and features of an upper gastrointestinal bleed, 1 month after ... ...
Abstract | A young woman with Rogers syndrome (thiamine-responsive megaloblastic anaemia, diabetes mellitus and sensorineural deafness) presented with headache, recurrent supraventricular tachycardia and features of an upper gastrointestinal bleed, 1 month after radiofrequency cardiac ablation for supraventricular tachycardia. She deteriorated rapidly after endoscopy and subsequently died. Brain imaging during the acute deterioration showed diffuse intracranial air embolism and hypoxic-ischaemic injury. Postmortem examination showed an atrio-oesophageal fistula, a rare complication of cardiac ablation. Clinicians should suspect this condition in patients with acute neurological deterioration after cardiac ablation who have diffuse air embolism on imaging. |
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MeSH term(s) | Female ; Humans ; Atrial Fibrillation ; Embolism, Air/etiology ; Esophageal Fistula/complications ; Esophageal Fistula/diagnosis ; Thiamine Deficiency/complications ; Tachycardia, Supraventricular/complications |
Language | English |
Publishing date | 2024-01-23 |
Publishing country | England |
Document type | Journal Article |
ZDB-ID | 2170881-2 |
ISSN | 1474-7766 ; 1474-7758 |
ISSN (online) | 1474-7766 |
ISSN | 1474-7758 |
DOI | 10.1136/pn-2023-003915 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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